Lisa Wallace is a Greenville, South Carolina based nurse practitioner with 12 years of experience in Acute Care. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Wallace is 28748 for Acute Care in South Carolina. Her current practice location is 200 Patewood Dr Ste B300, Greenville. Patients can reach her at 864-454-4200 or can fax her at 864-454-4205. Lisa Wallace is CNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1013349000. Lisa Wallace is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Lisa Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lisa Wallace
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Female
Credentials:
CNP
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
200 Patewood Dr Ste B300, Greenville, South Carolina, 29615-6338
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2466695648
Enrollment ID:
I20130909000377
NPI Number:
1013349000
NPI Enumeration Date:
01 Aug, 2013
NPI Last Update On:
13 Sep, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Wallace are as mentioned below.
License Number
Specialization
State
Status
28748
Acute Care
South Carolina
Primary
NP-14866
Acute Care
Ohio
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(360020)
Akron, OH
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Summa Physicians Inc (2961303532)
635
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa Wallace 300 E Mcbee Ave Fl 4, Greenville, South Carolina
Zip:
29601-2842
Phone Number:
864-522-8603
Patients can reach Lisa Wallace at 200 Patewood Dr Ste B300, Greenville, South Carolina or can call to book an appointment on 864-454-4200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.